After Gender Reassignment Surgery and a legal name change, then you can apply for the gender to be changed on your birth certificate.

Sources

https://www.flrules.org/gateway/ruleno.asp?id=64V-1.003

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Status is not correct. "It is no longer required to have Srs for gender change. You can see this on the DMV site/ paper required. All you need is a letter stating that you are in process of changing gender and have done all protocols. Like starting hormones, seeing a doctor and therapist."May 26, 2017